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Duke  University  Libraries 
Guide  for  inspe 
Conf  Pam  q#27 

DITDr^lflO- 


Guide  for  Inspection  of  Hospitals  and  Inspectors  Report. 


QUESTIONS— 

I.  Date  "I  vi-ot;  iiti mo  of  hospital;  owner;  period  of  occupancy;  rent  per  month;  contract  made 
with  whom . 

.'.  Situation  of  the  hospital;  health  of  the  vicinity;  miasmatic  and  meteorological  influences;  nui- 
sances  existing;  obstructions  to  ventilation;  facilities  in  yards  and  gardens  for  exercise  of 
patient  - 

.'».  Construction  of  the  building  and  adaptability  to  the  purposes  of  a  hospital  in  different  seasons; 
light  and  ventilation  by  windows;  supplied  with  water  and  gas  fixtures;  rooms  in  the  building 
or  contiguous  buildings  for  office,  apothecary  shop,  laundry,  kitchen,  dining  rooms,  store  rooms, 
I iake  houses  and  privies  ;  estimate  oi  expense  in  fitting  up  aud  repairing  building  and  out-houses  ; 

capacity  of  hospital,   estimating  fifty   square   feet    B ■  surface   for  each   patient  with  ordinary 

wound  or  disease,  and  in  wards  sel  apart  for  pyemia,  hospital   gangrene,  erysipelas  and   typhoid 
fever,  100  square  feet;  pitch  of  rooms  and  number  of  wards;  number  of  hospital  tents. 

i.  Medical  staff;  name,  rank  and  date  of  appointment  of  surgeon  in  charge;  name.  rank.  &c,  of 
other  medical  officers;  if  contract  physicians,  stating,  also,  amount  of  monthly  pay,  and  by 
whom  contract  made;  have  the  commissioned  officers  been  before  the  examining  board  of  sur- 
geons ;  hospital  slew  .lid'-;  name  ;  by  w  hom  appointed ;  pay  per  month  ;  is  the  number  of  hospital 
attendants  in  conformity  with  Medical  Regulations,  paragraph  45. 

•">.  Surgeon  in  charge;  has  he  forwarded  duplicates  of  his  special  requisitions  of  medical  supplies,  in 
all  cases  to  the  Surgeon  Genera] — Paragraph  I  ■*.  Medical  Regulations. 

ii.  In  transmitting  or  receiving  medical  supplies,  have  duplicate  invoices  or  receipts  been  transmitted 
tin'  Surgeon  General. —  Paragraph  !!t.  Medical  Regulations. 

I.  On  taking  charge  ^\'  hospital,  were  the  medical  supplies  on  hand  accounted  for  and  reported  to  the 
proper  credit. —  Paragraph  2H.  Medical  Regulations. 

8.  Are   the   wards  designated   by  names,    letters  or  numbers;  the  beds  numbered  and  patient's  name, 

diagnosis,  date  of  admission.  »\c.  on  a  Card  at   the  head  of  each  lied. 

9,  Does  the  surgeon  in  charge  inspect  each  ward  ami  every  part  of  the  hospital  once  daily. 

[0.    Has  lie  placed  every  ward  under  some  assistant  surgeon,  making   him  responsible  for  good  order  in 
the  wards,  and  proper  dieting  and  medical  treatment  of  its  inmate-. 

I  1.    Does  he  \isit  daily,  or  as  often  as  necessary,  such  cases  as  require  his  advice,  consultation  or  active 
interference. 

I  l.    Does  he  require  one  of  bis  assistant  surgeons  to  be  on  duty  at  all  times,  night  and  day. 

II.    Does  be  divide  the  responsibility  of  the  clerical  and  apothecary  departments  between  his  two  assis- 
tant surgeons  :is  required  in  paragraph  10.  Medical  Regulations. 


II.  Does  he  require  the  steward  to  seeurelj   preserve  the  "hospital   stores   and    supplies,"  accounting 

fur  their  issues  and  distribution  according  to  form  8,  Medical  Regulations. 

15.    Are  'rules   and  regulations  adequate  for  the  finds  set  forth  in  paragraph   28,  Medical    Regulations, 

conspicuously  di 

If!.  line?-  he  require  the  ward-masters  to  keep  an  account  of  the  effects  of  patients,  take  proper  care  "I 
them,  and  turn  over  the  effects  of  deceased  soldiers  to  the  authorized  receiver;  to  keep  m  record 
of  hospital  furniture,  i\e..  and  a  weekly  inventory  "I  articles  in  use  as  required  in  paragraph 
SO,  Medical  Regulations. 

I*.  What  is  the  condition  ol   persons  and  clothing  of  patients,  and  the  supply  of  hospital  clothing. 

IS.  What  16  the  condition  of  the  beds  and  bedding  .   how  often  straw  changed 

lit.  Whal  is  the  condition  of  the  floors,  walls  and  windows  of  the  wards. 

III.  Whai  is  the  condition  of  the  spittoons,  bed-pans,  slop-pails,  &c. 

21.  What  is  the  condition  of  the  kitchen,  store-r and  kitchen  furniture. 

.'2.  What  is  the  condition  of  the  food  used,  and  cooking  and  serving  of  meals. 

I.).  Whai  is  the  condition  of  dining-room,  diet  tables,  times  of  eating. 

i\.  What  is  the  amount  of  vegetables,  antiscorbutics  and  condiments  used. 

l.">.  \\  li at  is  the  condition  of  the  laundry  and  linen-room. 

26.  What  is  the  condition  of  the  bath-rooms,  supply  and  quality  of  water. 

87.  What  is  the  conditiou  of  the  privies,  construction  and  situation.  Use  or  requirements  of  disinfec- 
tants, and  the  must   efficacious. 

2*     Have  :>m\  economical,  ingenious  or  scientific  improvements  been  made  in  the  steward's  department. 

2!i.  Are  the  register,  order  and  letter  book,  ease,  prescription  and  diet  books,  copies  of  requisitions, 
reports  of  sick  and  wounded,  and  hospital  fund  account  kept  neatly  and  accurately  as  hospital 
records  and  property. 

50.  What    is  the    condition  of  the    dispensary,    medicines,    hospital    stores    and    instruments;    note    the 

amount  of  hospital  stores  and  stimulants  used. 

51.  Condition  oi  the   hospital    fund    (summary);  have  articles    been    bought  with  it  that  could  be  pro- 

cured from  a  quartermaster  or  medical  dispensing  agent,  or  only  articles  of  subsistence  ;  are  any 
rations  sold  for  hospital  fund  account,  or  is  the  excess  returned  and  commuted  for  by  the  commie- 
sary ;  have  officers  be<  d  inmates  and  consumed  rations  without  charge;  are  the  provision  returns 
kepi  and  compared  with  the  commissary's  monthly  abstract. 

:{•>.     Is  there  anything    remarkable  in  the  nature,  prophylaxis,    treatment  or  mortality  of  thfi  diseases  and 

inji! ries  thai  have  existed, 

.<:?.    Have  any  ingenious    improvements  or  economical    expedients    been    suggested  worthy  of  honorable 

mention,  or  thai  would  be  useful  to  surgeons, 

it   i 

34.  Is  a  rigid  sanitary  police  exercised  over  the  grounds,  sinks,  privies  and   garbage  boxes;   is  there  a 

scavenger  carl  actively  engaged 

35.  Is  there  a  sufficienl  guard  to  protect  property,  to  restrain  within  the  rules  and  regulations  the  miscella- 

neous admittance  of  visitors,  and  the  egress  of  patients  and  attendants,  I"  enforce  the  laws,  and 
arrest  and  restrain  offenders;  has  confinement,  Other  restraint  oi-  courts  martial  ever  been  neces- 
sary ;    is  there  a  u'uard-house 


86.  To  what  extent  have  femah  attendants  been  employed,  (or  volunteered  their  aid,)  especially  in  the 
kitchen  and  pantry  of  the  sic!  ;  in  administering  medicines  and  stimulants,  and  in  supervision 
of  the  1  i  11  n-room  and  la Iry  ;  has  discipline  and  hygiene  been  promoted  by  their  presence  and 

their  services. 

37.  Is  noise,  profanity,  intemperance  and  waste  forbidden  and  punished;  is  there  any  library  attached 
to  your  hospital  or  newspapers  taken:  any  chaplain  or  religious  observances. 

88.  1>  any   restraint   exercised  over  patients  in  private  quarters  ;  if  not  reporting  punctually,  are  they 

reported  as  deserters;  are   attendants  who  do  not   return   at    the  expiration   of  their  leave  of 
absence  reported. 

89.  Any  ambulance  or  other  transportation;   any  dairy. 

in.  Is  there  a  dead-house ;  its  condition  ;  how  are  bodies  identified  and  removed;  are  they  promptly 
and  decently  interred. 

II.  Are  patients  encouraged  to  report  to  the  surgeon  in  charge,  or  his  assistant  surgeons,  any  neglect, 
grievance  Or  ill  usage,  that  the  complaint  may  be  redressed  and  the  offeildor  corrected. 

Si  \tion 
L>  \TK. 


Surgeon  "/?</  Fn^jiector  of'  Hospitals. 


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